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Individual
KASSIDY CHISM
Active
Individual
KASSIDY CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000816-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
83829
NM
Other
Enumeration date
05/07/2025
Last updated
10/09/2026
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